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REVIEW article
Front. Nephrol.
Sec. Critical Care Nephrology
Volume 4 - 2024 |
doi: 10.3389/fneph.2024.1402641
The Utility of Point-of-Care Ultrasound in Critical Care Nephrology
Provisionally accepted
Rogerio P. Da Hora
1*
Uri A. Flato
2*
Paula R. Sanches
1*
Carolina Pellegrino
1*
Ricardo L. Cordioli
1*
Bruno C. Silva
1
Felipe G. Campos
1
Dalton d. Barros
3*
Fernanda O. Coelho
4
Bruno d. Bravim
1*
Thiago D. Corrêa
5*- 1 Albert Einstein Israelite Hospital, São Paulo, São Paulo, Brazil
- 2 Faculdade Israelita de Ciências da Saúde Albert Einstein Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil
- 3 Hospital Cardio Pulmonar, Salvador, Brazil
- 4 Davita Tratamento Renal, Salvador, Brazil
- 5 Albert Einstein Institute for Teaching and Research (IIEP), São Paulo, São Paulo, Brazil
Point-of-care ultrasonography (POCUS) is gaining heightened significance in critical care settings as it allows for quick decision making at the bedside. While computerized tomography is still considered the standard imaging modality for many diseases, the risks and delays associated with transferring a critically ill patient out of the Intensive Care Unit (ICU) have prompted physicians to explore alternative tools. Ultrasound guidance has increased the safety of invasive procedures in the ICU, such as the placement of vascular catheters and drainage of collections. Ultrasonography is now seen as an extension of the clinical examination, providing quick answers for rapidly deteriorating patients in the ICU. The field of nephrology is increasingly acknowledging the value of diagnostic pPoint-of-cCare uUltrasound (POCUS). By employing multi-organ POCUS, nephrologists can address specific queries that ariseing during the diagnosis and treatment of patients with acute kidney injury. This approach aids in ruling out hydronephrosis and offering immediate information on hemodynamics, thereby consolidating patient data, and facilitating the development of personalized treatment strategies.
Keywords: point-of-care ultrasound, Intensive Care, Acute Kidney Injury, Nephrologist, VExUS, Renal resistance index (RRI), AV fistula, Nephrology
Received: 18 Mar 2024; Accepted: 06 Sep 2024.
Copyright: © 2024 Da Hora, Flato, Sanches, Pellegrino, Cordioli, Silva, Campos, Barros, Coelho, Bravim and Corrêa. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Rogerio P. Da Hora, Albert Einstein Israelite Hospital, São Paulo, 05652-900, São Paulo, Brazil
Uri A. Flato, Faculdade Israelita de Ciências da Saúde Albert Einstein Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil
Paula R. Sanches, Albert Einstein Israelite Hospital, São Paulo, 05652-900, São Paulo, Brazil
Carolina Pellegrino, Albert Einstein Israelite Hospital, São Paulo, 05652-900, São Paulo, Brazil
Ricardo L. Cordioli, Albert Einstein Israelite Hospital, São Paulo, 05652-900, São Paulo, Brazil
Dalton d. Barros, Hospital Cardio Pulmonar, Salvador, Brazil
Bruno d. Bravim, Albert Einstein Israelite Hospital, São Paulo, 05652-900, São Paulo, Brazil
Thiago D. Corrêa, Albert Einstein Institute for Teaching and Research (IIEP), São Paulo, São Paulo, Brazil
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